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1 Swedish Defense Research Agency, Aviation Medicine, S-580 13 Linköping and Karolinska Institutet, S-171 77 Stockholm; and 2 Department of Paediatrics, Central Hospital, S-541 85 Skövde, Sweden
The effects of
increased gravity in the head-to-foot direction (+Gz) and
pressurization of an anti-G suit (AGS) on total and intraregional
intra-acinar ventilation inhomogeneity were explored in 10 healthy male
subjects. They performed vital capacity (VC) single-breath
washin/washouts of SF6 and He in +1, +2, or +3
Gz in a human centrifuge, with an AGS pressurized to 0, 6, or 12 kPa. The phase III slopes for SF6 and He over
25-75% of the expired VC were used as markers of total
ventilation inhomogeneity, and the (SF6
He) slopes
were used as indicators of intraregional intra-acinar
inhomogeneity. SF6 and He phase III slopes
increased proportionally with increasing gravity, but the
(SF6
He) slopes remained unchanged. AGS
pressurization did not change SF6 or He slopes
significantly but resulted in increased (SF6
He)
slope differences at 12 kPa. In conclusion, hypergravity increases
overall but not intraregional intra-acinar inhomogeneity during VC
breaths. AGS pressurization provokes increased intraregional
intra-acinar ventilation inhomogeneity, presumably reflecting the
consequences of basilar pulmonary vessel engorgement in combination
with compression of the basilar lung regions.
gravity; He; SF6; single-breath washout; ventilation inhomogeneity; vital capacity
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